Provider Demographics
NPI:1538948674
Name:CROWE, TRUDY ELLA (FNP)
Entity type:Individual
Prefix:
First Name:TRUDY
Middle Name:ELLA
Last Name:CROWE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:ELLA
Other - Last Name:CROWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 1227
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-1227
Mailing Address - Country:US
Mailing Address - Phone:828-788-5579
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL
Practice Address - Street 2:CALLER BOX-C268
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-497-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC156238163WG0000X
NC5019521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice